Review
Cytomegalovirus-induced massive small intestinal bleed. Case report and review of the literature
Affiliations
- PMID: 10756801
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Review
Cytomegalovirus-induced massive small intestinal bleed. Case report and review of the literature
Rev Med Chir Soc Med Nat Iasi.
1997 Jul-Dec.
Abstract
We report a case of massive small intestinal bleeding in a non-HIV positive patient treated with cyclophosphamide and steroids for polyarteritis nodosa. Tagged red blood cell studies, endoscopy, and angiograms were performed prior to exploratory laparotomy. Jejunal ulceration and bleeding were evident by serosal staining. Resected segments revealed intracytoplasmic inclusions positive for cytomegalovirus by immunoperoxidase staining. A second bleed after the resection was controlled with oral norepinephrine, prior to effective therapy with ganciclovir.
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